【摘要】 目的 观察表面麻醉下小切口非超乳青光眼白内障联合手术的治疗效果。方法 观察住院患者34例34眼，白内障并急性闭角型青光眼6例，慢性闭角型青光眼8例，原发开角型青光眼8例，白内障膨胀期继发青光眼12例。采用圈垫式劈核技术行小切口非超乳白内障摘除并人工晶体植入术，隧道内剪除小梁组织，剪除相应根部虹膜。结果 术中急性闭角型青光眼麻醉效果稍差，其余麻醉效果尚好；术后视力不同程度提高，眼压控制良好。结论 表面麻醉下小切口非超乳青光眼白内障联合手术效果可靠，值得临床应用。

    【关键词】 表面麻醉；小切口；非超乳青光眼白内障联合手术

    Investigation of small incision non-phacoemulsification cataract surgery combined trabeculectomy in topical anesthesia

    SHUAI Kai-di.

    Department of Ophthalmology, The First People’s Hospital of Jining, Shandong 272100，China

    【Abstract】 Objective To investigate the effect of small incision non-phacoemulsification cataract surgery combined trabeculectomy in topical anesthesia.Methods The group included cataract complicated acute close-angle glaucoma (6 cases),chronic close-angle (8 cases)and POAG(8 cases),intumescent cataract inducing glaucoma (12 cases).After cataract extraction with IOL implantation in small incision were going on based on chop technique with lens loop pad, trabecular and root iris were incised in tunnel.Results Anesthetic effect is unsatisfaction in cataract complicated acute close-angle glaucoma and nice in others. Vision acuity of all cases improved partly and IOP were completely controlled.Conclusion Small incision non-phacoemulsification cataract surgery combined trabeculectomy in topical anesthesia is an effective way and worth expanding. ......